Ms Counseling and Psychiatric Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MS COUNSELING AND PSYCHIATRIC CENTER LLC

Practice address

1893 Cliff Gookin Blvd Ste B
Tupelo, MS 38801-6558

Phone

(662) 346-4584

Fax

(662) 346-4589

NPI assigned

Dec 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Wagner

Title

President

Phone

(662) 322-6259

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1225807555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 CLIFF GOOKIN BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016558",
            "telephone_number": "662-346-4584",
            "fax_number": "662-346-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 CLIFF GOOKIN BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016558",
            "telephone_number": "662-346-4584",
            "fax_number": "662-346-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS COUNSELING AND PSYCHIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-322-6259"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Moss, LPC
• Walter Moss
• Jessica Motes
• Mothershed Optometry Associates PLLC
• Fred H Mothershed, O.D.
• Ms Eye PLLC
• Ms PMR & PMC, PLLC
• MSK Group, PC
• Ivory V Muhammad
• Andrea Munn

• Adult Mental Health Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.